Review and evaluate denied claims using proprietary software to determine correct reimbursement.
Research and acquire medical records and supporting documentation for submission to payers.
Conduct telephone follow-up with payers to ensure prompt reimbursement.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using an intelligent automation platform. The company has over 24 years of industry expertise, is a multi-year Top Workplaces award recipient, and has been on the Inc. 5000 list for eleven years.
Analyze collections and resolve non-payables for complex billing issues.
Follow up on insurance payer claims to ensure appropriate reimbursement.
Write appeals using established guidelines and communicate with insurance companies.
Ventra is a business solutions provider for facility-based physicians, specializing in Revenue Cycle Management. The company fosters a collaborative and fast-paced environment.
Work with insurance companies on behalf of patients to obtain payments for Banner Imaging teams
Research and hold payers accountable to pay expected rates according to contracts within allowed timeframes
Expand knowledge in appeals, follow up on denials, send medical records, verify eligibility and authorization, and negotiate with insurers
Banner Health is one of the largest nonprofit health care systems in the country, providing hospital services and care across multiple states. The organization is nationally recognized, earned Great Place To Work Certification, and offers diverse career opportunities with a strong focus on workplace excellence.
Manage billing, receivables auditing, and collections for services provided to patients in assigned facilities.
Achieve monthly cash collection goals and minimize the impact of bad debt.
Interact with insurance companies via telephone and written correspondence to resolve unpaid claims.
CommuniCare Family of Companies is a national leader in post-acute care, providing person-centered services for individuals with chronic or complex conditions. With over 19,000 employees across six states, the family-owned company is dedicated to serving with pride and fostering an environment where employees thrive.
Review and verify healthcare claims for accuracy, coding, eligibility, and coverage.
Approve or deny claims according to policy terms and regulations, and resolve discrepancies.
Process claims efficiently, meet performance targets, and maintain accurate records.
Blue Cross and Blue Shield of Kansas is a health insurance company providing coverage to Kansans. With over 80 years in the community, it fosters an inclusive, family-first culture and supports professional growth.
Contact insurance companies to collect outstanding accounts receivable and follow up on appeals.
Process and refile claims, audit adjustments, and resolve manual tasks assigned for follow-up.
Maintain an accuracy rating of 97% or greater and identify trends to leadership.
US Anesthesia Partners is a healthcare organization that provides anesthesia services and manages related billing and accounts receivable. The company emphasizes professionalism, accuracy, and teamwork in a remote work environment.
Prepare and resubmit corrected claims to insurance companies following specific payer guidelines.
Analyze first pass rejected claims to ensure clean resubmissions and minimize reimbursement delays.
Evaluate customer accounts and recommend adjustments or write-offs based on collectability.
Prompt RCM builds software for outpatient rehab organizations to improve patient care and reduce environmental waste. The company fosters a talented and healthy work culture with a focus on smart work and positive impact.
Receive medical claims from healthcare providers or patients and verify supporting documentation to ensure completeness.
Interpret Explanation of Benefits (EOB) and CMS-1500 forms, then evaluate claims against program-specific business rules for approval or rejection.
Provide support to customer inquiries via phone, email, or fax while maintaining HIPAA compliance and meeting daily productivity goals.
IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.
Perform follow-up status requests through telephone, internet, and fax requests.
Process incoming and outgoing mail, scanning, and document consolidation and indexing.
Maintain a working knowledge of internal policies and client systems and credentials.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals by optimizing their revenue cycle. They have a dedicated team of professionals focused on delivering outstanding results for healthcare providers.
Submit medical documentation and billing data to insurance providers
Research and appeal denied or rejected claims, and follow up on unpaid claims
Review insurance payments for accuracy and completeness using billing software
Cardinal Health is a global distributor of pharmaceuticals and medical products, providing performance and data solutions for healthcare facilities. With over 50 years of experience, the company supports an inclusive workplace that values diversity and delivers end-to-end solutions to improve healthcare.
Review and prioritize follow-up activities requiring claim edits or general payer follow-up.
Research claim denial issues and resolve them in a timely manner to release claims to payers.
Contact insurance companies to understand delays in processing claims or sending payments and identify next steps to resolve them.
BetterHelp is on a mission to remove traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, BetterHelp is now the world's largest online therapy service with a network of over 30,000 licensed therapists, helping millions of people.
We are seeking detail-oriented candidates for medical billing and coding positions. - Experienced professionals in claims, insurance verification, and accounts receivable are encouraged to apply. - Entry-level candidates will receive training as needed to succeed in the field.
Sydiera Healthcare Staffing connects motivated individuals with opportunities in medical billing and healthcare administration. They welcome both experienced professionals and entry-level candidates interested in building a career in the healthcare revenue cycle.
Respond to client and team information requests in a timely, professional manner.
Communicate with insurance carriers to resolve claim issues and improve cash flow.
Contribute to training materials and maintain proactive communication with clients.
Ternium RCM specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals to focus on patient care. They are a growing team of dedicated professionals committed to optimizing revenue cycles and improving healthcare outcomes.
Lead and oversee the Zero Balance team to identify and recover underpaid hospital claims deemed 'zero balance'.
Provide daily supervision, coaching, and performance management to team members.
Analyze claim payments, prepare appeals, and communicate with clients and insurance companies.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, using proprietary algorithms and intelligent automation to improve financial sustainability. The company is a multi-year Top Workplaces award recipient and has been on the Inc. 5000 list of fastest-growing private companies for eleven years.
Review appeals of adverse benefit determinations within federal and state regulatory timeframes.
Apply medical policy, coding guidelines, and contractual requirements to assess coverage decisions.
Collaborate with medical divisions and respond to state insurance department inquiries regarding benefit complaints.
Arkansas Blue Cross and Blue Shield is a health insurance provider serving Arkansas. It is consistently ranked as one of the best places to work in Central Arkansas, with an inclusive culture and an average employee tenure of 10 years.
Manage patient billing inquiries, resolve denials, and process insurance verifications.
Work claims end-to-end via clearinghouse and collaborate with cross-functional partners.
Optimize RCM processes, develop SOPs, and support ad-hoc projects including AI tool testing.
Nourish is an AI-native digital health system matching patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised a $100M Series C, bringing total funding to $215M.
Manage the full lifecycle of PIP and Medical Payments claims, from coverage verification and investigation to settlement or denial.
Apply medical cost-containment strategies, coordinate experts, and identify subrogation opportunities while meeting compliance standards.
Work remotely within the US, maintaining accurate claim files and communicating professionally with claimants and stakeholders.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The partner company is seeking a remote Associate PIP Claims Rep to handle Personal Injury Protection claims across multiple states in a structured, compliance-focused environment.
Review and analyze Medicare claims sampled by the Department of Justice to determine correct coding and payment based on coverage and utilization.
Conduct in-depth claims analysis to detect fraudulent or abusive billing practices using ICD-10, CPT-4, and CMS guidelines.
Complete summary reports and communicate findings internally while maintaining confidentiality and compliance with DOJ and CMS regulations.
Empower AI provides AI-powered solutions for federal government agencies, helping them transform their workforce and operations. Headquartered in Reston, Va., the company has three decades of experience in Health, Defense, and Civilian missions and is recognized as a 2024 Military Friendly Employer.
Completing collection and A/R follow-up activities for third party payors.
Maintaining quality and productivity requirements as outlined in performance expectations.
Reporting to the Manager/Supervisor of A/R Follow-up.
Piedmont Healthcare is a healthcare system providing medical services across Georgia. The corporate office is a large organization focused on revenue cycle management and administrative support.